AMBULATORY SURGERY CENTER OF BETHESDA, LLC; NPI #1407947112

Contact Information

AMBULATORY SURGERY CENTER OF BETHESDA, LLC

11210 OLD GEORGETOWN RD
NORTH BETHESDA, MD 20852-3202

Phone: 301-984-8600
Fax: 301-984-8601
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for AMBULATORY SURGERY CENTER OF BETHESDA, LLC

NPI # 1407947112

LBN Legal business name AMBULATORY SURGERY CENTER OF BETHESDA, LLC

Authorized official DOUGLAS FORMAN - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/27/2006

Last updated 05/04/2026 - About a month ago

Identifiers

License #

A1371

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AMBULATORY SURGERY CENTER OF BETHESDA, LLC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for AMBULATORY SURGERY CENTER OF BETHESDA, LLC

Reviews for AMBULATORY SURGERY CENTER OF BETHESDA, LLC